TAZWOOD CENTER FOR HUMAN SERVICES – NPI #1013960293
Clinic/Center

TAZWOOD CENTER FOR HUMAN SERVICES is an AHC clinic located in PEKIN, IL. NPPES has assigned the NPI number 1013960293 to TAZWOOD CENTER FOR HUMAN SERVICES on May 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAZWOOD CENTER FOR HUMAN SERVICES below.

NPI Profile for
TAZWOOD CENTER FOR HUMAN SERVICES

NPI Number
1013960293
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TAZWOOD CENTER FOR HUMAN SERVICES
Primary location
3248 VANDEVER AVE
PEKIN, IL 61554
Phone: (309) 347-5522 Fax: (309) 347-4264
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL POLSON
CEO
Phone: (309) 477-5555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.